Journal of injury & violence research最新文献

{"title":"Characterizing long-term outcomes following AMA discharges after assault-related penetrating trauma.","authors":"Ted J Chung, Rachel M Nygaard, Ellie Moon, Logan Peter, Peter Bodurtha, Tyler Winkelman, Derek C Lumbard","doi":"10.5249/jivr.v16i1.1875","DOIUrl":"10.5249/jivr.v16i1.1875","url":null,"abstract":"<p><strong>Background: </strong>Patients discharged against medical advice do not receive adequate treatment and have a greater risk of readmission. This study assessed the rate of discharges against medical advice following assault-related penetrating trauma, with secondary aims to evaluate long term pre/post-injury hospitalizations and mortality.</p><p><strong>Methods: </strong>Adult assault-related penetrating injuries admitted to a Level 1 Trauma Center were identified in the prospectively maintained database. Chart review was conducted for hospitalizations ± 5 years from index injury and statewide mortality data was used to identify deaths outside of hospital care.</p><p><strong>Results: </strong>Out of a total of 1,744 assault-related penetrated injuries, 3.2% (52/1630) of survivors discharged against medical advice. Reasons for discharge against medical advice included: unknown (38%), home/child/family/pets (25%), unhappy with care/restrictions (23%), and work/money/other (13%). Post-discharge mortality did not differ between routine (6.5%) and against medical advice discharge (3.9%). Against medical advice and routine discharge had similar rates of any hospitalization (38.5 v 28.2%) and trauma hospitalization in prior 5-years (35 v 36%). However, significantly more against medical advice discharges had prior hospitalizations involving drug or alcohol abuse (65 v 38%), but not mental health diagnosis (55 v 55%). Significantly more against medical advice discharges have post-injury hospitalizations compared to routine discharges (48 vs 26.5%); however, include similar rates of repeat traumatic injury (36 v 32%).</p><p><strong>Conclusions: </strong>Those with against medical advice discharges were significantly more likely to have prior hospitalizations involving drug or alcohol abuse and significantly higher rates of post-injury hospitalizations. However, we did not see an increase in repeat traumatic injury or post-discharge mortality in those with against medical advice discharges when compared to those with routine discharges.</p>","PeriodicalId":73795,"journal":{"name":"Journal of injury & violence research","volume":"16 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11684849/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140023600","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Readiness to manage domestic violence among medical interns - an observational study in a medical college and hospital in India.","authors":"Rumelika Kumar, Lina Bandyopadhyay, Monalisha Sahu, Rabindranath Roy, Bobby Paul, Dipankar Jana, Shuvajit Roy","doi":"10.5249/jivr.v16i1.1867","DOIUrl":"10.5249/jivr.v16i1.1867","url":null,"abstract":"<p><strong>Background: </strong>Domestic violence is a deeply entrenched issue in Indian society, with global implications, especially for women's physical and mental health. Healthcare providers play important role in early identification and support of the victims. Medical interns, the future generation of Health care professionals, often acting as primary caregivers are uniquely positioned and expected to recognize and assist victims. This study aims to evaluate their knowledge, attitudes, practices, and readiness to manage domestic violence and its associating factors.</p><p><strong>Methods: </strong>This cross-sectional study was conducted among 157 medical interns at a Medical college and hospital in West Bengal, India, from December 2022 to February 2023. Simple random sampling was done. Data were collected using a semi-structured questionnaire, Medical Intern Readiness to manage domestic violence scale (MIREDS), validated after adoption from Physician Readiness to manage Intimate partner violence scale (PREMIS). Ethical approval was obtained, and participants gave informed written consent for inclusion. Satisfactory threshold was determined to be more than 50 percent. Data analysis was performed using MS Excel and SPSS software, including descriptive and inferential statistics, with a significance level of p less than 0.05, along with logistic regression analysis.</p><p><strong>Results: </strong>Only 45.2% of medical interns demonstrated satisfactory knowledge, 54.8% had a satisfactory attitude. Most interns (91.7%) exhibited poor practice in dealing with domestic violence cases, only 31.2% considered themselves ready to manage domestic violence cases. Interns who attend more patients was found to have better attitude. Positive associations were found between knowledge, attitude, and readiness to manage domestic violence cases among doctors .</p><p><strong>Conclusions: </strong>A substantial proportion of medical interns demonstrated inadequate knowledge, negative attitudes, and poor practice and inadequate readiness to manage domestic violence. Comprehensive training and education with cultural sensitivity training along with more practical exposures are in need to address this issue properly.</p>","PeriodicalId":73795,"journal":{"name":"Journal of injury & violence research","volume":"16 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11684842/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139984740","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Visualization of the field of knowledge in sexual violence: a scientometric analysis based on citespace.","authors":"Ali Hamidi, Abdolrasool Khosravi, Roghayeh Hejazi, Fatemeh Torabi, Allahkaram Akhlaghi","doi":"10.5249/jivr.v16i1.1862","DOIUrl":"10.5249/jivr.v16i1.1862","url":null,"abstract":"<p><strong>Background: </strong>Sexual violence (SV) is a serious public health problem affecting millions of people each year. The main aim of this article is to provide a large-scale snapshot of the field of knowledge in SV research using a scientometric approach.</p><p><strong>Methods: </strong>Documents were retrieved from the Web of Science database. Then, a scientometric study was carried out on a sample of 65,610 documents. Co-citation and co-occurrence measures have been calculated and related networks have been drawn using Citespace and Biblioshiny software.</p><p><strong>Results: </strong>The main findings indicate that research in SV has increased significantly in recent years. On the other hand, the publication of about one-third of these documents by a single author is due to the special nature of this topic and its taboo in many societies. In addition, a large number of multimedia documents demonstrate the role and importance of multimedia resources in SV studies. Despite the attention to SV research by poor or developing countries to research in the field of SV, 95% of the documents have been published by 20 developed countries. Additionally, the general research approach has changed from criminology to psychology.</p><p><strong>Conclusions: </strong>Therefore, it seems that the discussion of psychological disorders in the occurrence of sexual violence reveals a new approach to SV. The concepts related to SV have been linked to broader areas than in the past. This, along with emphasizing prevention topics in the long term, will increase awareness of SV and reduce the possibility of abuse of vulnerable people.</p>","PeriodicalId":73795,"journal":{"name":"Journal of injury & violence research","volume":"16 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11684845/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138479694","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Unique roadside memorials: a lesson on road safety from Chile's Atacama Desert Region.","authors":"David C Schwebel","doi":"10.5249/jivr.v16i1.1868","DOIUrl":"10.5249/jivr.v16i1.1868","url":null,"abstract":"","PeriodicalId":73795,"journal":{"name":"Journal of injury & violence research","volume":"16 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11684850/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138479693","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Time indicators of pre-hospital emergency missions in Qazvin province in 2021-2022.","authors":"Najmeh Chegini, Sajad Noorian, Mojtaba Senmar, Soheil Soltani, Mostafa Amiri, Fatemeh Rashvand, Mohadese Aliakbari","doi":"10.5249/jivr.v16i1.1844","DOIUrl":"10.5249/jivr.v16i1.1844","url":null,"abstract":"<p><strong>Background: </strong>Pre-hospital emergency has a crucial role in providing timely care for patients. In this system, seconds and minutes mean the difference between life and death. Considering the importance of the role of pre-hospital emergency in providing services to different patients and the necessity of continuous evaluation of this system, the present study was conducted to investigate time indicators in pre-hospital emergency missions.</p><p><strong>Methods: </strong>This cross-sectional study was conducted in 2022 in Qazvin province, Iran. The research population was all the calls made to pre-hospital emergency bases in Qazvin province The required information, including time indicators and demographic characteristics of the patient, was obtained using the electronic registration system (Asayar). Data were Analysis using descriptive statistics and SPSS 20 software.</p><p><strong>Results: </strong>Out of the 35,943 patients admitted to the hospital, 20,915 were male while the remaining were female. The mean age of the patients was 44.09 ± 21.82 years. Accidents (29.41%) were the most common reason for contacting the pre-hospital emergency. In all transfer missions, the mean delay time (0:02:23 ± 0:03:33), response time (0:15:02 ± 0:09:42), the time on the scene (0:18:33 ± 0:11:10), total run time (0:54:02 ± 0:25:20), transport time (0:20:25 ± 0:16:49), round trip time (1:32:43 ± 1:08: 43).</p><p><strong>Conclusions: </strong>The findings of the present study provided valuable information about the variety and number of missions in a pre-hospital emergency. The results showed that some indicators are within the standard range and some indicators are far from other regions of the country and the world. Increasing the number of bases, increasing the number of ambulances, and Implementation of continuous training courses for personnel can improve time indicators and increase the quality of service to different types of patients.</p>","PeriodicalId":73795,"journal":{"name":"Journal of injury & violence research","volume":"16 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11684843/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50159439","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The backover threat: adopting thermal imaging infrared sensor for agricultural safety.","authors":"Bryan P Weichelt, David C Schwebel, Serap Gorucu","doi":"10.5249/jivr.v15i2.1847","DOIUrl":"10.5249/jivr.v15i2.1847","url":null,"abstract":"","PeriodicalId":73795,"journal":{"name":"Journal of injury & violence research","volume":"15 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10915878/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140066304","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Experiences of sexual violence and their associations with suicidal ideation and behavior in the past year: an analysis of adults from the 2021 Ace Community Survey.","authors":"Brian N Fink","doi":"10.5249/jivr.v15i2.1843","DOIUrl":"10.5249/jivr.v15i2.1843","url":null,"abstract":"<p><strong>Background: </strong>This research assessed forms of sexual violence and their associations with suicidal ideation among adults identifying on the asexual identity spectrum.</p><p><strong>Methods: </strong>A secondary data analysis was conducted among adults, identifying on the asexual spectrum of asexual, gray-asexual, or demisexual, from the 2021 Ace Community Survey (n = 8,715). Multiple logistic regression analyses determined potential associations between sexual violence and suicidal ideation, adjusting for the covariates of age group, gender, education, racial/ethnic minority, employment, and asexual spectrum identity.</p><p><strong>Results: </strong>Demisexual individuals were at statistically greater odds of suicidality compared to gray-asexual and asexual individuals. Sexual violence victims were more likely to be suicidal compared to non-victims. This was especially true for attempted rape and suicidal consideration (OR = 2.10, 95% CI (1.60, 2.75), planning (OR = 1.76, 95% CI (1.32, 2.34), and attempts (OR = 3.15, 95% CI (2.07, 4.81).</p><p><strong>Conclusions: </strong>Asexual victims of sexual violence were more likely to be suicidal compared to non-victims. Demisexual individuals were more likely to be suicidal compared to asexual individuals. These findings demonstrate the need for additional research on sexual violence and suicide.</p>","PeriodicalId":73795,"journal":{"name":"Journal of injury & violence research","volume":"15 2","pages":"147-155"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10915876/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9912189","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A qualitative evaluation of the challenges in management for patients with chronic diseases during disasters in Iran.","authors":"Elham Ghazanchaei, Kiyoumars Allahbakhshi, Davoud Khorasani-Zavareh, Javad Aghazadeh-Attari, Iraj Mohebbi","doi":"10.5249/jivr.v15i2.1767","DOIUrl":"10.5249/jivr.v15i2.1767","url":null,"abstract":"<p><strong>Background: </strong>Iran's health care system faces significant challenges in managing the growing burden of non-communicable diseases, and these are exacerbated during the frequent natural disasters. The current study was designed to understand challenges in providing healthcare services to patients with diabetes and chronic respiratory diseases during such crisis periods.</p><p><strong>Methods: </strong>The conventional content analysis was used in this qualitative study. Participants included 46 patients with diabetes and chronic respiratory diseases, and 36 stakeholders with knowledge and experience in disasters. Data collection was carried out employing semi-structured interviews. Data analysis was performed using Graneheim and Lundman method.</p><p><strong>Results: </strong>Four major challenges in providing care to patients with diabetes and chronic respiratory diseases during natural disasters include integrated management, physical, psychosocial health, health literacy and the behavior and barriers to healthcare delivery.</p><p><strong>Conclusions: </strong>Developing countermeasures against medical monitoring system shutdown in order to detect medical needs and problems faced by chronic disease patients including those with diabetes and chronic obstructive pulmonary disease (COPD), is essential in preparedness for future disasters. Developing effective solutions may result in improved preparedness and better planning of diabetic and COPD patients for disasters.</p>","PeriodicalId":73795,"journal":{"name":"Journal of injury & violence research","volume":"15 2","pages":"113-128"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10915883/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10825470","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Development and validation of SALT Triage method to facilitate the identification and classification of patients in Mass Casualty Incidents.","authors":"Ghasem Mehralian, Marzieh Pazokian, Yousof Akbari Shahrestanaki, Amir Salari, Amin Saberinia, Soheil Soltani","doi":"10.5249/jivr.v15i2.1681","DOIUrl":"10.5249/jivr.v15i2.1681","url":null,"abstract":"<p><strong>Background: </strong>Mass Casualty Incidents (MCIs) have caused great financial losses. These incidents are referred to a situation in which the number of casualties caused by the accident temporarily increases to such an extent that it is not possible to treat all these patients with the facilities and capacities available in the area. To offer fair and proportionate medical services to all patients, it is necessary to use a process called patient triage. This study aimed to modify the Sort Assess Lifesaving Intervention Treatment/transport (SALT) triage method to simplify the differentiation of patients from green from yellow and gray from red.</p><p><strong>Methods: </strong>This is a methodological study with a descriptive cross-sectional approach that by studying the SALT triage method and using the criteria defined in the Reference Standard, facilitates the identification of patients with a minor (Outpatient) and fatal injury (Expectant). Then, using two common and modified SALT triage methods, 100 simulated patients were triaged and the obtained data were evaluated and compared in terms of accuracy and speed.</p><p><strong>Results: </strong>The improvement made in the SALT triage method was able to reduce 22% of the total triage error of the first nurse and improved 18% in green, 43% in yellow, 15% in red, and 13% in the gray category. In the second nurse, this method was able to reduce 29% of the errors and in the category of green patients, 41%, yellow 47%, red was unchanged, and gray 38% improvement was observed. Furthermore, the average triage rate was 4 and 5 seconds shorter per patient in the first and second nurses, respectively.</p><p><strong>Conclusions: </strong>With this modification, the diagnostic power has increased by 22% in the first nurse and 29% in the second nurse. Due to the significant increase in the accuracy of the mSALT (Modified SALT) triage method, this modification can be considered useful and can be used to advance the goals of triage in MCIs.</p>","PeriodicalId":73795,"journal":{"name":"Journal of injury & violence research","volume":"15 2","pages":"137-146"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10915875/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9781658","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Gender difference in the perceived cause of fall leading to fracture and its potentially contributing factors among older adults.","authors":"Mahdieh Ardaneh, Mohammad Fararouei, Jafar Hassanzadeh","doi":"10.5249/jivr.v15i2.1788","DOIUrl":"10.5249/jivr.v15i2.1788","url":null,"abstract":"<p><strong>Background: </strong>the present study aimed to investigate gender difference in the perceived cause (intrinsic or extrinsic) of falls leading to fracture (FLF) and its association with selected social, health, and environmental factors.</p><p><strong>Methods: </strong>All patients aged 60 years or older who were admitted to two referral hospitals due to FLF from August 1, 2018, to the end of May 2019, were included in the study. An interview-administered questionnaire was used to collect the required data from 300 participants (136 men and 164 women).</p><p><strong>Results: </strong>When compared to men, women were less physical active, were less smoker, had lower education, had more vision problems, used more sedatives, and were more satisfied with their life (P less than 0.05 for all). No statistical difference was observed between men and women about the perceived cause of Fall.</p><p><strong>Conclusions: </strong>Although women and men were the same in the perceived cause of fall, they had considerably riskier lifestyles and lower health status. These factors include education, vision condition, physical activity, occupation, and taking sleeping pills. On the other hand, men were more smoker and alcohol user.</p>","PeriodicalId":73795,"journal":{"name":"Journal of injury & violence research","volume":"15 2","pages":"157-164"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10915882/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10297730","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}